Final Exam NURS 3320 Questions with Correct Answers
When is an initial comprehensive assessment completed? CORRECT ANSWER a total health assessment needs to be done when a patient first
enters into the health care system
What is subjective data? CORRECT ANSWER client's perception of their own health
What is objective data? CORRECT ANSWER data gathered by physical
exam
When is an ongoing partial assessment performed? CORRECT ANSWER mini-overview after the patient is established in the health care system
What is included in an ongoing partial assessment? CORRECT ANSWER -reassessing problems that were previously identified
How often is an ongoing partial assessment performed> CORRECT ANSWER Frequency of this assessment is going to depend on the acuity
of the client
What is included in the working interview? CORRECT ANSWER -
biographical data (name, DOB, gender)
-Reasons for seeking care -Hx of present health concern (COLDSPA)
-Personal hx (PMH, PSH)
-Family hx
-ROS of current health problems-each body system is addressed and the nurse asks further questions to elicit greater details of the client's current health problem
What should you ask onself when prioritizing one's assessment? CORRECT ANSWER Why do we assess what we assess when conducting a focused assessment? Do they have a problem that could potentially kill them?
-Address pain first before going to a physical assessment
Why do we conduct a head-to-toe assessment? CORRECT ANSWER -
So we do not miss anything and to save time
-helps create a routine
What is included on an abdominal assessment? CORRECT ANSWER -
Inspect
-Auscultate
-Percussion
-Palpation
Why do nurses do an assessment? CORRECT ANSWER Our job is to make a nursing diagnosis that is relevant to the patient so that we can base our care off of it When/where are you going to use the bell of a stethoscope? CORRECT ANSWER -low pitched sounds: bruits, murmurs
When/where are you going to use the diaphragm of a stethoscope? CORRECT ANSWER -high pitched sounds
In which order should you perform your assessment? CORRECT ANSWER least invasive to most invasive
What is the FDSR (Faces pain scale) used for? CORRECT ANSWER cognitively impaired adults
What is the NRS (Numeric rating scale) used for? CORRECT ANSWER best for adults without cognitive impairment
What does the holistic health approach of nursing include? CORRECT ANSWER addressing the client's needs for their mind, body, and spirit
What is the proper placement and technique for measuring a patient's BP? CORRECT ANSWER -Palpate radial pulse -inflate cuff until pulse disappears
-deflate cuff until you feel the pulse again
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